Department of Surgery, Helsinki University Central Hospital, P.O. Box 263, 00029 HUS, Helsinki, Finland.
Hernia. 2011 Apr;15(2):217-20. doi: 10.1007/s10029-010-0633-8. Epub 2010 Feb 4.
We report a rare complication after laparoscopic fundoplication using a dual-sided PTFE/ePTFE (Bard® Crurasoft™) mesh fixation. A 53-year-old man was re-operated for a recurrent hiatal hernia. The hiatal hernia was reinforced using a mesh. Two years later, the patient presented with serious dysphagia and weight loss. An endoscopy revealed a migrated mesh in the stomach. The mesh was excreted within the stool without notice. The PTFE/ePTFE mesh, which is designed for treating hiatal defects, is considered to have superior tissue incorporation, together with less adhesion formation and fistulation. As mesh migration into the upper gastrointestinal tract is possible, it should be used with great care in the peri-oesophageal region.
我们报告了一例使用双面聚四氟乙烯/膨体聚四氟乙烯（巴德® Crurasoft™）网片固定行腹腔镜胃底折叠术的罕见并发症。一名 53 岁男性因复发性食管裂孔疝再次手术。使用网片加固食管裂孔疝。两年后，患者出现严重的吞咽困难和体重减轻。内镜检查显示胃内有移位的网片。网片在未被察觉的情况下随粪便排出。设计用于治疗食管裂孔缺损的聚四氟乙烯/膨体聚四氟乙烯网片具有更好的组织融合性，同时粘连形成和瘘管形成较少。由于网片可能迁移到上消化道，因此在食管周围区域应谨慎使用。
